370-040-24-MBE_PLANNED_UTILIZATION.pdf
PDF 19 KB Posted
- Attached to
- Electrical Vehicle Charging Station
- Solicitation number
- 25-072-RFP
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This document is a Minority Business Enterprise (MBE) Planned Utilization form issued by the State of Florida Department of Transportation, specifically form 375-040-24 dated 03/17. The form is designed for contractors to outline their planned subcontracting with Minority Business Enterprises for a specific project, requiring the contractor to indicate the percentage of project costs to be subcontracted to MBEs and provide details about the specific MBE subconsultants/contractors and the types of services or commodities they will provide.
The form requires the contractor to complete key information including their name, title, and organization, and specify the percentage of project costs to be subcontracted to minority-owned businesses. The contractor must list the proposed MBE subconsultants/contractors and the corresponding types of services or commodities they will deliver. Additionally, the form stipulates that the contractor will need to submit Minority Business Enterprises payment certification forms to the Department for reporting purposes, emphasizing the administrative tracking and documentation requirements associated with minority business participation in the project.
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Text version
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
MBE PLANNED UTILIZATION
375-040-24
PROCUREMENT
03/17
PROCUREMENT NO. FINANCIAL PROJECT NO.
(DEPARTMENT USE ONLY)
DESCRIPTION:
I, , (name) (title) of plan to subcontract at least % (percent) of the project costs on the above referenced project to Minority Business Enterprises.
If I have indicated above that a portion of the project costs will be subcontracted to MBE(s), the firms considered as proposed subconsultants/contractors and the types of services or commodities to be subcontracted are as follows:
MBE SUBCONSULTANTS/CONTRACTORS TYPES OF SERVICES/COMMODITIES
I understand that I will need to submit Minority Business Enterprises (MBE) payment certification forms to the Department for reporting purposes only.
Signed:
Title:
Date:
File details come from the government source that posted it. Updated .